CHECK-UPWhat's the cause of my weak bladder? And what can I do to control it?
EVERY TIME I lift something heavy, run or even laugh, I lose a small amount of urine. I'm a fit and sporty 38 year old and never had this problem until after I had my second child last year.
An accidental leakage of urine which occurs during activities such as laughing, coughing, lifting, exercising or intercourse, is known as stress incontinence. Although commonly thought of as an older woman's problem it is something younger women suffer from too. The problem occurs when the urethra, the tube through which urine is channelled from the bladder, is no longer able to maintain a complete seal and, as a result, urine leaks when pressure is put on it.
Childbirth is the most common cause, but being overweight, having a hysterectomy, smoking, the menopause and taking part in high-impact activities can all contribute to the problem.
I really want to do something about this problem before it gets any worse - any ideas?
The best defence against stress incontinence is having well-toned pelvic muscles. Strengthening the ring of muscles that surround and support the vagina, urethra and anus will help. Known as Kegel exercises, they work well for some women but need to be practised on a regular basis. A physiotherapist will be able to advise you on these exercises and on other methods of improving your bladder control.
And if these don't work, are there other options?
There are a number of different approaches to treating stress incontinence, including medications that target the nerve chemicals controlling the urethra and injecting a thick gel-like material into the urethra to bulk out these tissues, as well as surgery.
Although traditionally a major procedure, newer, minimally invasive techniques which involve keyhole surgery and the insertion of tape to support the urethra and bladder may be suitable for some. See your GP for a definitive diagnosis and ask for a referral to a chartered physiotherapist with special expertise in the area of incontinence.
Your doctor may also want to refer you on to a consultant urologist for further assessment and treatment.